What should I do if I can't put it back in after an erection?

Patient's question:

I have a sensitive issue to discuss. I have been living with my girlfriend for two years, but we have never had a truly meaningful sexual relationship. We have tried a few times, but none of them succeeded, and we couldn’t penetrate. (Normal erection) Additionally, I have a habit of masturbation, and I can usually ejaculate normally.
I would like to ask the experts, is this due to a problem with the position or other reasons (I am from the north, and I am taller and more muscular, while my girlfriend is from the south and is petite. Does this have anything to do with it?)
I sincerely hope for the experts’ help!

Doctor's answer:

Hello, impotence, also known as erectile dysfunction, refers to the inability to achieve or maintain an erection during sexual arousal, or the inability to maintain an erection of sufficient hardness to complete sexual intercourse, thereby hindering or preventing sexual activity. The main symptoms of impotence include: 1. The penis cannot fully erect or the erection is not firm enough to engage in normal sexual activity satisfactorily. 2. Young men may experience anxiety and irritability along with impotence due to insufficient emotional communication with their sexual partner or inconsistent sexual habits. 3. Occasional impotence may occur, with complete normalcy during subsequent sexual activity, possibly due to temporary tension or fatigue, which is not considered pathological. 4. Although impotence occurs frequently, the penis can still become erect and maintain it for a period during morning erections or masturbation, often caused by psychological factors. 5. Persistent and progressively worsening impotence is usually caused by organic disorders. If you notice any problems, seek medical attention promptly to identify the cause and receive targeted treatment to avoid delaying the condition. In terms of prevention, since the onset is related to excessive indulgence, one should cultivate a calm mind, abstain from masturbation; if it is related to general weakness, malnutrition, or overwork, appropriate nutrition should be increased or a balance between rest and activity should be maintained, and sexual desire should be restrained.

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